Summary: Addiction Counselor Exam Review Models of Treatment Objectives Models of Treatment • Psychological (self-medication) Model • Addiction and mental health issues result from deficits in learning, thinking or emotion regulation • Treatments • Behavioral self-control • Individual and group counseling (Multiple EBPs) • Pharmacotherapy for mental health issues Psychological: Behavioral Self Control • Goals • Strengthen internal mechanisms (self-awareness) • Establish external controls • Coping skills • Goal setting • Behavioral contracting (What would you contract for?) • Trigger management (What are MH triggers) • Functional Analysis (of behaviors NOT diagnosis) • Relapse prevention (What are relapse prevention strategies for MH? Addiction?) Psychological: Psychotherapeutic • Dialectical Behavior Therapy • Why • Clients unintentionally rewarded ineffective treatment while punishing their therapists for effective therapy. • The sheer volume and severity of problems presented by clients made it impossible to use the standard CBT format. • Clients found the focus on change inherent to CBT invalidating. (How might this be true in addiction?) • Clients felt their suffering was being underestimated, and therapists were overestimating their helpfulness • “You are doing it, or feeling incorrectly.” Psychological: Psychotherapeutic • Dialectical Behavior Therapy • Over Riding Themes • Mindfulness (wise mind) • Distress tolerance • Emotion regulation • Interpersonal effectiveness & problem solving Psychological: Psychotherapeutic • Matrix Model for Stimulant Use • A 45 session treatment program • Goals: • Learn about issues critical to addiction and relapse • Receive direction and support from a trained therapist • Become familiar with self-help programs. • The therapist functions simultaneously as teacher and coach, fostering a positive, encouraging relationship Psychological: Psychotherapeutic • Motivational Enhancement Therapy • Helps resolve ambivalence about treatment & abstinence • This therapy consists of: • Initial assessment battery • Followed by 2-4 individual sessions with a therapist Psychological: Psychotherapeutic • Motivational Enhancement Therapy • This therapy consists of (cont…): • First treatment session (FRAMES) • Feedback about the initial assessment • Responsibility • Elicits self-motivational statements • Strengthens motivation and builds a plan for change • Advice: Coping strategies for high-risk situations are suggested Psychological: Psychotherapeutic • Motivational Enhancement Therapy • This therapy consists of (cont…): • First treatment session • Menu of Options • Empathy • Self-Efficacy • Subsequent sessions: therapist monitors change, reviews change strategies being used, encourages change Psychological: Psychotherapeutic • Family Behavior Therapy (FBT) • Demonstrated positive results in both adults and adolescents • Addresses not only substance use and mental health problems but other co-occurring issues (i.e. conduct disorders, child mistreatment, family conflict, and unemployment) • FBT involves the patient along with at least one significant other such as a cohabiting partner or a parent Psychological: Psychotherapeutic • Family Behavior Therapy (FBT) • FBT combines behavioral contracting with contingency management. • Therapists seek to engage families in applying the behavioral strategies taught in sessions and in acquiring new skills to improve the home environment. Psychotherapeutic • Seeking Safety • Present-focused therapy for trauma/PTSD and addiction • Available as a book, with guidance for clients and clinicians • Can be done in individual or group Psychological: Psychotherapeutic • Introduction/Case Management • Safety, PTSD: Taking Back Your Power • When Substances Control You • Honesty, Asking for Help • Setting Boundaries in Relationships • Getting Others to Support Your Recovery • Healthy Relationships • Community Resources • Compassion • Creating Meaning • Discovery • Integrating the Split S
